NPI | 1760719306 |
---|---|
Entity Type | Organization |
Authorized Contact | FELICIA STALLWORTH Director 347-677-6422 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 9408L001) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2009-11-03 |